Vibrant Home Care

Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.

People's health risks were not always fully assessed. Risk assessments were not always completed, 2 people's risk assessment for moving and positioning had not been entirely completed. Care plans for people who required support with their skin integrity did not always contain important information. Other risk assessments, such as, for the use of catheters and equipment to support safe nutrition was detailed and contained enough information for staff.

People were not always protected from infectious diseases by good staff practices, we received some feedback that staff did not always keep people's homes tidy. People were kept safe by staff who understood their responsibilities to recognise and report safeguarding concerns. People received their medicines safely; staff were trained and assessed as competent before administering people's medicines.

People were supported by care staff who received training relevant to their role. Newly recruited staff completed an induction course which included shadowing a more experienced staff member. Where people's needs changed, the registered manager sourced training for staff to be able to safely support them.

People told us there were enough staff to support them, where people required 2 staff, this was planned for and met. People and their relatives spoke highly of the care staff. A relative said, "Staff are brilliant at making sure privacy is respected." A person told us, "The staff are fabulously caring."

People and their relatives told us they were comfortable to complain. A person said, "I'm quite happy to contact the office if I need to. We did have some teething problems at the start." We were given some examples of complaints raised by people and their relatives, they confirmed they were satisfied with the outcome. These complaints had not been included in the complaints log, which meant the registered

manager was unable to ascertain and address reoccurring trends of complaints.

Staff worked with health and social care professionals to ensure people's needs were met. Care records confirmed where staff had contacted district nurses to escalate concerns about people's health. The registered manager described a good working relationship with the local hospice to ensure people had everything they needed to remain comfortable when at the later stages of their lives.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.